Organization Active NPI

Keri M Pomella, OD PA

  • Optometrist
  • Hialeah, FL
National Provider Identifier
1639547201
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3040 Issued in FL
Legal business name
KERI M POMELLA, OD PA
Practice address
1550 W 84TH St
Hialeah, FL 33014-3377
Phone
(786) 558-9043
Fax
(786) 762-2926
NPI assigned
Sep 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Keri Marie PomellaNPI 1316978364
Title
Optometrist
Phone
(786) 558-9043

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC3040 FL Primary

Addresses

Primary practice location

1550 W 84TH St
Hialeah, FL 33014-3377

Mailing address

1550 W 84TH St Ste 15
Hialeah, FL 33014-3368

Other practice location 1

1833 NE Miami Gardens Dr
Miami, FL 33179-5035
Phone (305) 932-5601

Other practice location 2

5700 Stirling Rd Ste 300
Hollywood, FL 33021-1522
Phone (954) 989-3333

Other practice location 3

1001 E 4th Ave
Hialeah, FL 33010-4103
Phone (786) 558-9043

Other practice location 4

9950 Griffin Rd
Cooper City, FL 33328-3420
Phone (954) 434-5500

Other identifiers 1

IdentifierTypeStateIssuer
015979900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170517002598 FL Part B Supplier - Clinic/Group Practice 7517234891 Receives reassigned benefits from 1 practitioner
Practice locations: Hialeah, FL

National Provider Directory

National Provider Directory
Tax ID family
Keri M Pomella OD PA5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1550 W 84th St
Ste 14
Hialeah, FL 33014
Phone (305) 556-6946

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1639547201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 W 84TH ST STE 15",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330143368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 W 84TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330143377",
            "telephone_number": "786-558-9043",
            "fax_number": "786-762-2926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1833 NE Miami Gardens Dr",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331795035",
            "country_code": "US",
            "telephone_number": "305-932-5601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5700 Stirling Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330211522",
            "country_code": "US",
            "telephone_number": "954-989-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 E 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330104103",
            "country_code": "US",
            "telephone_number": "786-558-9043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9950 Griffin Rd",
            "address_purpose": "LOCATION",
            "city": "Cooper City",
            "state": "FL",
            "postal_code": "333283420",
            "country_code": "US",
            "telephone_number": "954-434-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KERI M POMELLA, OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-12",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "POMELLA",
        "authorized_official_first_name": "KERI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "786-558-9043"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015979900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.